论文部分内容阅读
目的：探讨子宫颈残喘癌的预防和治疗。方法：1986年5月到1992年7月，我院共收治经病理证实的子宫颈残端癌12例。所有病人均在外院接受过子宫次全切除术。Ⅰ期2例，Ⅱ期4例，Ⅲ期6例。根据期别、组织学类型、解剖特点，治疗采用单纯手术，手术加放疗；单纯放疗、体外加后装腔内放疗；放疗加化疗。结果：全组7例存活，存活率58.3％，5例死亡中4例死于肿瘤，1例第8年死于其它疾病。结论：子宫颈残端癌预防的关键在于子宫次全切除前宫颈细胞学或病理证实无病变，术后严密随诊。治疗方法主要是放射治疗，部分全盆大野，盆腔四野加个体化后装腔内治疗。
Objective: To investigate the prevention and treatment of cervical cancer. Methods: From May 1986 to July 1992, 12 cases of cervical stump cancer confirmed by pathology were treated in our hospital. All patients underwent subtotal hysterectomy in the external hospital. There were 2 cases in stage I, 4 cases in stage II, and 6 cases in stage III. According to the period, histological type, and anatomical characteristics, the treatment was performed with simple surgery, surgery plus radiotherapy; radiotherapy alone, plus in vitro plus intraluminal radiotherapy; radiotherapy plus chemotherapy. Results: 7 patients in the whole group survived with a survival rate of 58.3%. Four of the five deaths died of tumors, and one died of other diseases in the eighth year. Conclusion: The key to the prevention of cervical stump cancer is that cervical cytology or pathology confirms that there is no disease before subtotal hysterectomy. The treatment is mainly radiation therapy, some of the whole basin Ohno, pelvic four fields plus individualized after treatment.